This paper explores the differential effects of the integrated psychody-namic treatment of a schizophrenic woman. In the initial stage of treatment, supportive interventions including hospitalizations, social skills training, and holding functions were supplied by a day-treatment program, and supportive/expressive interventions to contain anxiety and overstimulation were provided by the therapist. Later in treatment, more extensive expressive interventions were introduced to correspond maximally to the patient's level of functioning. A core psychoanalytic intervention targeted specific hallucinations as expressions of unmodulated affective experiences, while the day-treatment program focused on impulse control and coping skills. The treatment approach resulted in significant improvement in the patient's quality of life and led to fewer suicide attempts and a reduction in the medical cost associated with those attempts.